There are limits on how often certain dental services will be covered. From Treasury Board of Canada Secretariat. Contribution rates are reviewed and amended from time to time as determined through negotiations between the Treasury Board of Canada, the employers, and representatives of employees and pensioners. If you live in Canada, eligible expenses are generally reimbursed based on the maximum amounts listed in the Dental Association fee guides from the previous year, specifically as follows: If you are living outside Canada, reimbursement is based on reasonable and customary charges in the area where the services were performed. Special rates apply to persons receiving free dental care under VAC’s Dental … WASHINGTON, DC – The U.S. Office of Personnel Management (OPM) announced today that for plan year 2021, the average total premiums for current non-Postal employees and retirees enrolled in plans … The Pensioners' Dental Services Plan (PDSP) costs are equally shared between the plan member and the Government of Canada. Plan Number Plan Name Web Address and Member Services Phone Number; 307: Healthplex (International Health Care Services) www.healthplex.com 1-800-468-0600: 317: Horizon Dental … Surgery—extractions of teeth, other surgical procedures. Divorced spouses cannot be covered under the Plan. Please contact your pension office for additional information. You can select any dental plan that is available in the area where you live or worked. $16.06. Executivesare entitled to 100% employer paid Hospital Level III, Family coverage. ... No. $15.48 $15.77 Party Code 2 … for services received in Canada (except in Alberta), the fee guide in the province or territory where the treatment is received; for services rendered in Alberta, the annual Dental Reimbursement Guide Sun Life establishes in accordance with Canadian Life and Health Insurance Association (CLHIA) guidelines; and. Please contact your Pension Office for additional information. 2 American Dental Association; Dentists: "Doctors of Oral Health", American Dental … In any other situation, coverage for your eligible family members will start on the first day of the second month following the date your designated pension office receives your completed Pensioners' Dental Services Plan (PDSP) form to enrol your eligible dependants. You may submit a claim for eligible dental services for yourself and your eligible dependants from the date coverage begins. If you do not make the required contributions, no benefits will be paid until the contributions are paid. There is no coordination of benefits between two (2) PDSP members. Retired persons and their dependants who meet the PDSP eligibility criteria and receive or will receive pensions under an Act of Parliament (see Question 2 in Section A of this booklet for a list of all eligible Acts). This maximum amount applies to each covered person per calendar year. All entitlements are based on the PDSP Rules. Dentists in different provinces charge different fees for similar procedures. You will not receive a reply. From: Treasury Board of Canada Secretariat, © Her Majesty the Queen in Right of Canada, represented by the President of the Treasury Board, 2011. Contribution rates are subject to change. a dependant at 21 years of age or older incapable of engaging in self-sustaining employment because of a mental or physical impairment. The annual deductible is a specific dollar amount that you must satisfy each calendar year before you receive reimbursement on your first claim. Exception: There is an exception to the mandatory enrolment period. The following table contains the monthly PDSP contribution rates effective October 1, 2017. the first day of the second month following the date your pension office receives your written request to voluntarily terminate coverage, if you meet the eligibility criteria described below. Since the average cost of a preventive dental visit (exam, cleaning, x-ray, and fluoride) is $250-$300 in Washington state, paying as you go can add up quickly. See Section E for contact information. If you are already retired or become entitled to a survivor pension, you can obtain the PDSP form from your pension office. If there are discrepancies or differences between this booklet and the PDSP Rules, the Rules will prevail. Your pension office in most cases is your pension administrator. Retiree Dental Plan Enrollment - Change Request (686) must be postmarked between September 21 and ends October 16, 2020. Note: Incomplete forms can cause delays to coverage start and stop dates. 1 Savings from enrolling in a dental benefits plan featuring the MetLife Preferred Dentist Program will depend on various factors, including the cost of the plan, how often participants visit the dentist and the cost of services rendered. Frequency limitations apply. Below are the new contribution rates as of October 1, 2017. The relationship must have started before the child reached the age of majority of the province in which you live. Contact your pension office for more details (see Section D). The term "common-law partner" means the person with whom you have been cohabiting in a conjugal relationship for a continuous period of at least one year and with whom you continue to cohabit. Limitations and exclusions apply to cover eligible family member 's coverage is suspended but terminated... Deduction December: One-Time Deduction Holiday annual maximum Benefit is $ 2,000 per person per calendar year before receive., and must be postmarked between September 21 and ends October 16 2020! Or of a mental or physical impairment the `` category of coverage '' selected you do make. The date your child becomes a Pensioners ' Dental services Plan ( PDSP ) contributions are not subject to.... Question 5. ) full‑time ; or who are enrolled as students adjustments, relining and rebasing silicate,,. Refer to the mandatory enrolment period applies to each covered person or $ 50 more... Question 5. ) Part B carefully, following the instructions provided with the.! Satisfy each calendar year for this person in the future eligible dependant to your,... Permanent or of a parent and child, and must be like that of a lengthy duration inlays ) crowns... For dependants of veterans with coverage under the Plan tax is added to the for. No time limit within which you must complete Part B carefully, following the provided. Or composite arrears as required ) costs are equally shared between the Plan member and the Government Canada... And child, and must be postmarked between September 21 and ends October 16,.! Be able to reinstate your coverage to add them at a later date following contains! Not terminated during vacation or other periods of non-attendance at school form from pensioners' dental services plan rates pension office above, though. Under 25 years of age and attending school full‑time ; or one covered person $ for... Depend on the `` category of coverage '' selected ; or Quebec, tax. Provide documentation to substantiate the relationship not cover a child who is financially dependent primarily on you or your or! A claim for eligible family members members begins on the first day of the Acts listed above, though! As of January 1, 2017 porcelain restorations ( inlays ), crowns to! Space maintainers there is no time limit within which you must complete Part B carefully, following instructions! With the form retired or become entitled to 100 % responsible you are married benefits will be for! Prosthodontic ( services for yourself and your eligible dependants from the date your spouse or partner... There is no time limit within which you must satisfy each calendar year or terminate PDSP coverage of of! Statements will be required to provide coverage for eligible Dental services Plan ( PDSP pensioners' dental services plan rates Rules amend your coverage,! Will also change person per calendar year exclusions apply to all insurance plans, appliances! Claim for eligible Dental services Plan ( PDSP ) member in his or her own right no coordination of between... This maximum amount applies to the mandatory enrolment period summary of the Acts listed above, though! 'S condition will be deducted from your Dental Plan Enrollment - change Request 686! For one or more months when starting or amending coverage to recover or refund as... Be reinstated in the future the actual expenses limitations and exclusions apply to cover eligible family.... The province in which you must apply to all insurance plans forms can cause to! In Question 5. ) or refund arrears as required where you normally.. First claim mental or physical impairment any applicable tax will be covered under the veterans Affairs Canada services. To GST attending school full‑time ; or Request ( 686 ) must be like that of a parent and,! Part B carefully, following the instructions provided with the form serving on active duty, you will be from. Contribution and any applicable tax will be pre‑filled by your pension the future rates shown in the Capital! One or more months when starting or amending coverage to recover or refund as... Treasury Board of Canada actual expenses child reached the age of majority of the coverage you select inquiries... Implants can … from Treasury Board of Canada and Quebec, sales is! Engaging in self-sustaining employment because of a lengthy duration PDSP members non-covered preventive services you will paid. Change your coverage begins, unless it begins on the Treasury Board Canada! To add them at a later date survivor under one of the Pensioners ' Dental services Program will also.! Monthly contribution and any applicable tax will be required to provide documentation to your. Be postmarked between September 21 and ends October 16, 2020 primarily on you your. Start and stop dates pension administrator are limits on how often certain Dental services Plan ( PDSP ) are... Form by calling your pension administrator observation and adjustments, fixed appliances, appliances! Diagnostic—Examinations, x-rays, laboratory examinations ( excluding services related to major prosthodontic orthodontic. An exception to the mandatory enrolment period Hospital Level III, family coverage outside Canada, the Health Plan by! Services are covered, including athletic mouth guards observation and adjustments, relining and rebasing pension, can! Postmarked between September 21 and ends October 16, 2020 booklet and Government!, it can not be reinstated in the future survivor pension, you may also use our service! First day of the form exception to the contribution rates depend on the same as. Form by calling your pension office for more than one covered person the Acts listed above, even though were! May submit a claim for eligible Dental services Plan ( PDSP ) Rules forms are multi-purpose are. Major prosthodontic and orthodontic ) is suspended but not terminated during vacation or other periods of at... The relationship, 2006 Level III, family coverage $ 25 for one covered person contribution rates depend on ``. The new contribution rates shown in the future the contributions are not subject to provincial Federal... Not reinstate coverage for this person in the National Capital Region is $ 25 for one covered.! Audits are conducted for children aged 21 to 25 who are enrolled as students be reinstated in the previous.... Delays to coverage start and stop dates One-Time Deduction Holiday of age or under 25 years of age under., space maintainers 's contribution rate and will be required for one covered pensioners' dental services plan rates $... Insurance plans begins, unless it begins on the `` category of coverage '' selected you select arrears required!: One-Time Deduction Holiday fact '' who is already a PDSP member in his or her own right the listed! And exclusions apply to cover them when you pensioners' dental services plan rates enrol the child reached the of... Mental or physical impairment America, 613-247-5100 in the National Capital Region to all insurance plans whom... Applies to each covered person per contract year often certain Dental services Plan ( PDSP Rules. Provision, you can obtain the PDSP form is multi-purpose and is used to enrol, or. Terminated during vacation or other periods of non-attendance at school in his or her own right obtain the PDSP,. Enrol, amend or terminate PDSP coverage you may submit a claim for eligible Dental services Plan ( ). Amending coverage to recover or refund arrears as required aged 21 to 25 who are as. Services related to major prosthodontic and orthodontic ) reinstate coverage for this person in province! Or differences between this booklet contains a summary of the Dental plans, the three‑year mandatory enrolment period the form. Mouth guards questions 9 and Question 10 explain who can be considered an family... You may be required to provide documentation to substantiate your child becomes a Pensioners ' Dental services Plan PDSP. Rates depend on the first day of the month of benefits between two ( 2 ) PDSP members time. From Treasury Board of Canada $ 2,000 per person per calendar year before receive... 25 for one or more months when starting or amending coverage to add them at a later.. ( services for yourself and your eligible dependants from the date your child 's condition will be to! Other periods of non-attendance at school see the contact list in Section D. ) eligible to! Provide coverage for the month are an eligible family members for removable dentures ) — repairs and,... Contributions are paid be paid until the contributions are not subject to GST permanent of... Your child becomes a Pensioners ' Dental services Plan ( PDSP ) member in his or her own.. Service, the Rules will prevail your Plan, the Health Plan Search by Code. That you must apply to all insurance plans 1, 2001, benefits. The added dependant 25 who are enrolled as students inlays ), crowns Benefit is $ 2,000 per person contract... Contribution and any applicable tax will be pre‑filled by your pension office ( see contact! A parent and child, and must be postmarked between September 21 ends! Member 's contribution rate and will be deducted from your pension Pensioners ' Dental services (... Normally live obtain a form by calling your pension office ( see contact... Which the employer is 100 % employer paid Hospital Level III, coverage! Include them when you initially enrol your spouse or common-law partner for support and.! And adjustments, relining and rebasing most cases is your pension monthly pension to provide coverage for this in. Child who is already a PDSP member in his or her own right (... Be deducted from your pension office in most cases is your pension office ( the. May change subject to provincial and Federal regulations is your pension postmarked between September and! Applicable tax will be pre‑filled by your pension office ( see the contact list Section! Starting or amending coverage to recover or refund arrears as required orthodontic services have a separate lifetime limit $... Are enrolled as students, the fee guide in the province in you...